DR. HEIDI J HANSEN D.M.D. NPI 1063655967

NPI Information

  • NPI: 1063655967
  • Provider Name: DR. HEIDI J HANSEN, D.M.D.
  • Classification: Oral Medicine - 125Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4805 NE GLISAN ST STE 11N
    PORTLAND, OR
    ZIP 97213
  • Phone: (503) 215-1676

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NPI Details

DR. Heidi J Hansen, D.M.D. is an oral medicine in Portland, OR with 22 years of experience. The provider is oral Medicine is the specialty of dentistry responsible for the oral health care of medically complex patients and for the diagnosis and management of medically related diseases, disorders and conditions affecting the oral and maxillofacial region. Oral Medicine specialists have training and expertise in the diagnosis and management of oral and mucosal diseases, medical management of maxillofacial pathologies from hematology and oncology, organ transplant services, autoimmune disorders, including acute and chronic pain conditions of oral & maxillofacial region. Oral Medicine specialists co-manage oral and maxillofacial conditions and diseases in collaboration with medical specialists and other dentists in hospitals and outpatient medical clinics, particularly in the management of patients with complex medical conditions requiring multidisciplinary healthcare intervention. DR. Heidi J Hansen, D.M.D. NPI is 1063655967. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4805 NE GLISAN ST STE 11N
PORTLAND, OR
ZIP 97213-933
Phone: (503) 215-1676

The NPI 1063655967 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • X-ray of lower jaws, upper jaws and teeth (HCPCS:70355)
  • 3d radiographic procedure with computerized image postprocessing (HCPCS:76377)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Ct scan of face without contrast (HCPCS:70486)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)

The enumeration date for this NPI number is 4/8/2009 and was last updated on 10/23/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1122300000XDentistD11216OREGONNo
2122300000XDentist055295NEW YORKNo
3125Q00000XOral Medicine055295NEW YORKNo
4125Q00000XOral MedicineD11216OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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